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General NPI Number Information
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NPI Number | 1053632547
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Entity Type | Individual
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Provider Name | NALINI VENKATESWARAN NALINI VENKATESWARAN
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Gender | Female
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 06/18/2010
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Provider Practice Location Address
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Address Line | 7564-7570 HAVERFORD AVENUE RITE AID PHARMACY,
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City | PHILADELPHIA
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State | PA
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Zip | 19151
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Country | US
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Telephone | 215-878-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 9 THOMAS SPEAKMAN DR
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City | GLEN MILLS
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State | PA
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Zip | 19342-1367
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Country | US
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Telephone | 484-840-1265
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Fax | 484-840-1265
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP045291L
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License Number State | PA
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